Michelle M Boskovich, PA-C
Individual provider Active NPI Physician Assistant · Mather, CA
NPI 1366425845 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366425845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA12996 (CA)
- Practice address
- 10535 Hospital Way
Mather, CA 95655-4200 - Phone
- (916) 366-5406
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12996 | CA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12996 | CA | Yes |
Addresses
Primary practice location
10535 Hospital Way
Mather, CA 95655-4200
Mailing address
8273 Prairie Star CT
Sacramento, CA 95829-8136
Phone (916) 682-4464
Other names
- Michelle Boskovich
Other providers in Mather, CA
- Erik P Birzgalis
- Lisa E Bishop
- Gabriel Silveira Borges
- Thanh Van Thi Borges
- Karen Borrego
- Candace Maree Bright
- Caleb Adam Broschat
- Kristine Borromeo Brown
- Harold A Burger
- Sara Lyndsey Bustos
All providers in Mather, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.